Erection problems (impotence) are very common, particularly in men over 40.
Most men occasionally fail to get or keep an erection.This is usually due to stress, tiredness, anxiety or drinking too much alcohol, and it’s nothing to worry about.
If it happens more often, it may be caused by physical or emotional problems.
Possible cause Treatment
Narrowing of penis blood vessels, high blood pressure, high cholesterol medicine to lower blood pressure, statins to lower cholesterol
Hormone problems hormone replacement – for example, testosterone
Side effects of prescribed medication change to medicine following discussion with GP
You may also be asked to make lifestyle changes.
lose weight if you’re overweight
eat a healthy diet
try to reduce stress and anxiety
cycle for a while (if you cycle more than 3 hours a week)
drink more than 14 units of alcohol a week
Spedra (avanafil) is a relatively new drug in the treatment of erectile dysfunction. Spedra (avanafil) is absorbed quicker into the body compared to viagra. The quicker effect means intercourse can occur on shorter notice, and give men the confidence in their ability and allow them to enjoy the moment.
Avanafil belongs to a group of medicines called phosphodiesterase type 5 (PDE 5) inhibitors. It works by helping to relax the blood vessels in your penis, allowing blood to flow into your penis when you get sexually excited. It has been found to help men achieve erections in just 15 minutes and work for up to 5 hours
Avanafil will only help you to get an erection if you are sexually stimulated and will not lead to a permanent, irreversible erection during this period.
Spedra with drink and alcohol
Grapefruit juice can increase exposure to the medicine and should be avoided within 24 hours prior to
Drinking alcohol at the same time as taking Spedra may increase your heart rate and lower your blood
pressure. You may feel dizzy (especially when standing), have a headache or feel your heart beating in
your chest (palpitations). Drinking alcohol may also decrease your ability to get an erection.
How to take Spedra
The recommended dose is a 100 mg tablet, as needed , but not more than once a day.
You could have been given the dose of one 200 mg tablet if your doctor has decided that the 100
mg dose was too weak for you, or the dose of one 50 mg tablet if your doctor has decided that the 100
mg tablet was too strong for you.
The recommended dose of avanafil is a 100 mg tablet, with an interval of at least 2 days between doses.
You should take Spedra about 30 minutes (50 mg) or approximately 15 to 30 minutes (100 mg and
200 mg) before you have sexual intercourse.
Avanafil can be used by mean
- Of all ages
- No matter how severe erectile dysfunction may be
- Who have undergone a prostatectomy or have had partial removal of their prostate
Like all medicines, this medicine can cause side effects, although not everybody gets them.
Serious side effects
Stop taking Spedra and see a doctor straight away if you notice any of the following serious side effects – you may need urgent medical treatment:
an erection that will not go away (“priapism”). If you get an erection that lasts more than
4 hours, this must be treated as soon as possible or lasting damage can happen to your penis
(including not being able to get erections).
sudden decrease or loss of vision in one or both eyes.
sudden decrease or loss of hearing (sometimes you may also feel dizzy or have ringing in your
Stop taking Spedra and see a doctor straight away, if you notice any of the serious side effects above.
Other side effects include:
Common (may affect up to 1 in 10 people)
For a Full list of side effects see the manufacturers
Paitient Information Leaflet
Further information can be found on the manufacturers
Paitient Information Leaflet and printed if required.